Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.54 / $3,050.78 / $5,592.75	Facility		$272.54	$3,050.78	$5,592.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $272.54 / $655.08	Professional		$180.74	$272.54	$655.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.84 / $229.84 / $319.95	Professional		$229.84	$229.84	$319.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,242.91 / $14,369.57 / $19,468.49	Facility		$12,242.91	$14,369.57	$19,468.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.35 / $229.37 / $385.18	Professional		$50.35	$229.37	$385.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $260.94 / $313.13	Facility		$200.86	$260.94	$313.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $267.58 / $330.81	Professional		$194.66	$267.58	$330.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $248.34 / $457.82	Professional		$157.37	$248.34	$457.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $2,993.31 / $5,757.00	Facility		$1.70	$2,993.31	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $272.54 / $546.71	Professional		$203.04	$272.54	$546.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $207.69 / $296.69	Professional		$162.87	$207.69	$296.69
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,685.00 / $20,268.00	Facility		$464.00	$1,685.00	$20,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $265.48 / $362.36	Professional		$225.50	$265.48	$362.36